Why Do Doctors Not Like Medicare Advantage Plans?

Why Do Doctors Not Like Medicare Advantage Plans?

they basically lose money on them.

medicare advantage plans have no incentive to save money.

in fact, the incentive is to spend more.

and medicare advantage plans have no incentive to pay subscribers to stay with them because they don't have to pay those costs.

so for the companies, this is a big problem.

they have been lobbying hard to get congress to change the rules.

and, of course, the health care industry has one of the biggest lobbying budgets in washington.

so they are very powerful.

so the -- this is one of these issues where the obama administration really should have been fighting for its seniors.

but instead they caved in to industry pressure and they've tried to pass legislation that won't work.

and they've made an agreement that they can't keep.

so this is the kind of the stuff that makes people cynical about washington.

>> elizabeth, it's a lot of money, $400 billion.

there's a lot of money involved here.

>> there is.

and that's why you would expect this to be a very high priority.

and the fact that it's been going on for so long, the fact that a solution has not been found just reinforces the idea that washington can't solve problems.

they can't get big things done.

the public is cynical, and that's why you see a lot of people saying, you know, we're going to have to start thinking about spending cuts.

>> i don't know if i agree with that.

but, you know, i've been following this issue for a long time, the insurance industry always wins these kinds of fights.

i think what we need to do is we need to get the government out of this business.

we need to get the government out of it, so we can have a free market where we let the industry compete and people will get the insurance they want.

we'll see if the government can do the same thing with the health care system.

i think it's a different issue, but these are the people that are going to be paying these bills.

>> there's no question we do need to have a free market.

but there are certain things that the government needs to do.

like this is not the kind of thing that the government should be involved with.

the government should not be in the business of trying to make sure that every american gets insurance.

and i think that that's -- and this is government overreach.

this is not something that the government should be doing.

>> the irony is that if you look at the health care system in europe, you'll find that people are not satisfied with their insurance and they're not satisfied with the way their -- the way their health care is delivered.

and it's because they don't have a choice.

and they don't have a choice of what plan they're in.

they don't have a choice of what hospital they can go to.

doctors don't have a way to make sure that they're getting compensated in a way that's fair.

so, yes, we do need to do things to make sure that there's more competition.

but it's not something the government should be doing.

>> elizabeth, the president said he'd veto these bills, so what do you think this is all about?

we've talked about this.

we talked about this before.

why is he still talking about it?

>> i think it's important to the president, and i think it's important to democrats.

and i think they think it's a campaign issue for them.

and they want to keep it alive.

and i think that's part of the problem.

the president is kind of using this to try to show his base that he's fighting for them.

and democrats are using it to try to show their base they're fighting for them.

and it's something that the president is doing that, you know, gun control is something that's really important to them too.

so i think they're using this as one way to show the base they're fighting for them.

>> but, elizabeth, if you look at the polling, a lot of people don't like the health care law.

i mean, that's the irony here in that the president is doing this for the wrong reasons.

people don't want this bill.

>> of course, they don't want it.

but this is something that's important to the president.

he's been working really hard on this.

i think it's something that he's really passionate about.

and he wants to build the legacy that he promised on health care.

>> okay.

>> he thinks that this is something that people will look at in the future and say the president fixed the health care system.

>> we'll leave it there.

thank you very much for that.

>>> coming up, more on the president's visit to israel and his historic speech today.

how israelis are reacting to mr.

obama's message.

>>> rick perry drops out of the presidential race.

will the tea party's support sway the republican candidates?

>>> plus, the most chilling thing you have ever heard.

the man accused in the newtown school shooting allegedly told his mother he could hear voices.

>>> and the president's plan to change the migration system in the u.

s.

is just part of a sweeping executive action.

and it's all in "the cycle.

" ♪ let's hear from you.

send us a tweet.

or text us on our abcnews.

com facebook or instagram accounts.

we are going to be monitoring that today.

and we'll bring you the highlights.

>>> and from abc news, this is "the "this week" washington insider.

>>> good morning.

i'm jon karl.

and we're going to begin with the big news today, the president's speech in jerusalem.

abc's senior white house correspondent jonathan karl is in jerusalem this morning.

jon, you've been talking to israeli officials about the message from the president.

what are they saying?

>> reporter: jon, this was the speech that no one wanted to hear.

the president.

LET'S GET STARTED

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